Treatment systems guidelines for primary rectal cancer from the 1996 Patterns of Care Study.
PURPOSE: The Patterns of Care Rectal Cancer Committee was formed to develop consensus recommendations for patients with adenocarcinoma of the rectum limited to the pelvis. METHODS AND MATERIALS: The Committee was composed of a multidisciplinary group of oncologists, and clinical scenarios were chosen to address most of the major treatment controversies in the combined modality treatment of rectal cancer. A literature search was then conducted and the major articles were identified. A modified Delphi technique was used to arrive at consensus. Serial surveys were conducted by distributing questionnaires to the Committee members to consolidate expert opinion. Voting was conducted using a scoring system and opinions were unified to the highest degree possible. RESULTS: Consensus voting was performed for 4 clinical scenarios. Acceptability ratings for treatment were grouped into 3 broad categories: not acceptable, acceptable, and most acceptable. Based on the treatment options, a decision tree was developed that reflects the consensus of the committee. CONCLUSION: These options may help guide treatment decisions in rectal cancer.
Duke Scholars
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Related Subject Headings
- Rectal Neoplasms
- Radiotherapy, Adjuvant
- Radiotherapy Dosage
- Oncology & Carcinogenesis
- Middle Aged
- Male
- Humans
- Female
- Delphi Technique
- Decision Trees
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Rectal Neoplasms
- Radiotherapy, Adjuvant
- Radiotherapy Dosage
- Oncology & Carcinogenesis
- Middle Aged
- Male
- Humans
- Female
- Delphi Technique
- Decision Trees